Director, Health Plan Operations (Must reside in Florida)
WFA Digital Insight
As the healthcare landscape shifts, demand for seasoned health plan operators is on the rise. With 8+ years of healthcare operations experience and 3+ years of management under your belt, you're poised to lead high-performing teams. name stands out for its commitment to innovation, making this Director role a compelling opportunity for those passionate about shaping the future of healthcare.
Job Description
## About the Role Lead and direct a team responsible for developing and administering state health plan operational functions, programs, and services. ## Responsibilities - Oversee the development and administration of health plan operational functions - Manage programs and services related to state health plans ## Requirements - At least 8 years of healthcare operations, healthcare administration, and/or provider services experience - At least 3 years of management/leadership experience - Advanced experience with Medicare, Medicaid, and Marketplace plans - Experience with prompt pay laws - Advanced claims-related experience ## Benefits Competitive benefits package, Equal Opportunity Employer (EOE) M/F/D/V
How to Stand Out
- Develop a strong understanding of healthcare regulations, including prompt pay laws, to stand out in your application.
- Highlight your experience with Medicare, Medicaid, and Marketplace plans in your portfolio and resume.
- Be prepared to discuss your management and leadership style, as well as your approach to team development.
- Showcase your ability to analyze and solve complex problems in healthcare operations.
- Consider obtaining certifications in healthcare management or related fields to enhance your application.
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